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  •  ...Utilization Review Coordinator JOB SUMMA RYWe are seeking a skilled Utilization Review Coordinator (URC) to oversee patient insurance certification, compliance with governmental regulations related to hospital stays, and the prevention of denials. Embedded within... 

    Confidential

    Manila
    23 days ago
  •  ...Utilization Review Nurse Location: Philippines About Us: HBiz is a leading Revenue Cycle Management (RCM) company dedicated to helping healthcare providers optimize their financial performance. We specialize in delivering innovative solutions that streamline revenue... 

    Health Business Solutions LLC

    Cebu
    more than 2 months ago
  •  ...Benefits Questionnaires (DBQ) assigned in the client portal. Reviews and bookmarks medical records and creates a synopsis in order...  ...questions, if needed, based on the veteran's medical history. Remotely assists the medical provider during a scheduled appointment of... 

    Confidential

    Davao City
    26 days ago
  •  ...A leading financial institution in Bonifacio Global City is seeking a Credit Review Officer to join their team. This is an opportunity for you to leverage your expertise in credit risk analysis, portfolio management, and financial evaluation. As a Credit Review Officer... 

    Confidential

    Philippines
    14 days ago
  •  ...# JOB SUMMARY #-Operates, monitors and maintains various utilities equipment relating to Refrigeration System, Steam and Air Compression System, Water Treatment and Electrical System. #- Performs procedures and instructions prescribed by the company's/plants... 

    Confidential

    General Trias City, Cavite
    23 hours ago
  •  ...solutions, from AI-driven claims processing, Utilization management to program integrity,payment...  ...: Chennai, Tamil Nadu, India (or Remote only for Phillipines based candidates )...  ...this role, you will be responsible for reviewing and analyzing clinical information to determine... 

    Netmark Business Services

    Philippines
    4 days ago
  •  ...your career and grow into a leadership role Do you enjoy reviewing complex tax returns, advising clients with clarity, and mentoring...  ...Standard Time (ensuring a 6 hour overlapping time); ~100% remote opportunity! Work at the comfort of your home with equipment provided... 

    Confidential

    Philippines
    a month ago
  •  ...highly skilled and detail-oriented Peer Review Specialist to support our Residential, PHP...  ...documentation practices that support utilization review. Proactively track authorization...  ...pressure. Requirements This is a full time job 100% Remote $10-$11/hr... 

    Confidential

    Philippines
    26 days ago
  •  ...and monitoring routine to moderate complex referrals and health care services data and reviewing treatment plans and services in order to ensure the efficient use of patient utilization systems and quality care using appropriate medical resources. Effective team... 

    Confidential

    Manila
    26 days ago
  •  ...hustle Our client is looking for a Tax Reviewer to join their fast-growing, pharmacy-focused...  ...U.S. firm that recognizes the value of remote professionals who bring expertise and...  ...correspondence. Technology & Innovation Utilize modern tax software tools (e.g., Lacerte,... 

    Confidential

    Philippines
    27 days ago
  •  ...clients and the communities we serve. Position Overview The Utility Specialist provides utilities to all properties under Evernest...  ...information for all utility companies per market should be reviewed and updated each month with accurate information. ~ Provides... 

    Confidential

    Philippines
    27 days ago
  •  ...shareholders, partners, and communities. Why Accenture S&C At Accenture Strategy & Consulting, we're shaping the future of utilities by helping clients lead the energy transition, digitizing operations, and delivering sustainable value. With access to cutting-... 

    Confidential

    Taguig
    26 days ago
  •  ...resolves issues and provides guidance to team members on cases Responsible for performance monitoring and completion of annual common review evaluations Escalates concerns or operational issues to the proper channel Performs quality audit on selected cases to ensure... 

    Confidential

    Philippines
    14 days ago
  •  ...Responsibilities Identify urgent and priority operational business and utilization management issues Design, execute, and implement a team...  ...team members' accountability on commitments; Coaching, mentoring, regular employee reviews, and supervising project timelines... 

    Confidential

    Philippines
    26 days ago
  •  ...with: Ensures solicited BDO mobile/individual merchants are in accordance with the minimum terms of acceptance. Receives and reviews applications/requests from telesales team, and ensures mandatory information as well as documentary requirements are accurate and... 

    Confidential

    Philippines
    25 days ago
  •  ...Your Role The Head, Compliance Review is responsible to execute and implement the monitoring/quality assurance/review, and advisory of regulatory and AML/CFT compliance practices throughout Maybank Philippines Incorporated (MPI). The incumbent shall work closely... 

    Confidential

    Taguig
    26 days ago
  •  ...Onsite Our Credit Management team is looking for experienced professionals to join us in Taguig with the role of Credit Review Officer Lead a robust monitoring initiative for the Bank's Corporate Banking portfolio through thorough reviews and stress... 

    Confidential

    Taguig
    26 days ago
  •  ...accounts based on internal guidelines. Validates the risk rating/credit scorecards performed by Account Officers during portfolio reviews and the report discrepancies and/or errors in rating, if any, for eventual correction. Ensures that all data, information... 

    Confidential

    Philippines
    26 days ago
  •  ...Location: Cebu City Employment Type: Full-time - Direct hire Join our team! We're looking for a reliable and hardworking Utility Personnel to help maintain the cleanliness, order, and efficiency of our workplace. If you take pride in keeping things running smoothly... 

    Support Services Group Philippines

    Cebu City
    17 days ago
  •  ...Join our team today and experience firsthand our dedication to supporting People First. What can you expect in an Application Review Developer Support role with TaskUs: As an Application Review Developer Support, you will support the client's App Store by... 

    Confidential

    Philippines
    20 days ago
  •  ...LSEG is seeking to hire Specialist, Controls Utility Testers to join our newly established Centralized 1LoD Business Control Utility...  ...control test plans. Regular activities include a risk-based control review, effective test execution, and an in-depth analysis of control... 

    Confidential

    Taguig
    27 days ago
  •  ...a diverse and dedicated team that foster a culture of excellence, autonomy and flexibility. Embrace the convenience of a fully remote working environment, facilitating a healthy work-life balance without compromising on your connection to the dynamic world of tech.... 

    Confidential

    Manila
    27 days ago
  •  ...our nation's economic and social development. With Metrobank, a meaningful life is within your reach! Position Title: Credit Review Officer Job Summary: Preparation and credit assessment of loan proposals and corresponding borrowers Credit Risk and Portfolio... 

    Confidential

    Cagayan Valley
    26 days ago
  •  ...planning process and ensure alignment across departments and business units. Drafts the 5-Year Strategic Plan and the OKR and OKR review presentations to the FDC Execom; reviews the strategic plan and OKRs of the business segments and key departments to ensure... 

    Confidential

    Philippines
    23 days ago
  •  ...We're Hiring: Utilities Engineering Officer Location: Head Office + Field Work in Clinic Branches Employment Type: Full-Time Are you a licensed Electrical or Mechanical Engineer with a strong background in facilities management and engineering services? Join... 

    Belo Medical Group, Inc.

    Makati
    19 days ago
  •  ...verticals where the controls are owned. The team will be part of central Control utility function within operations. Responsibilities General, strategic, and culture Provide independent review and challenge on performance of internal control environment. Ability... 

    Confidential

    Taguig
    27 days ago
  •  ...Job Overview: Responsible for conducting independent loan reviews and reporting policy and underwriting observations/exceptions. The role requires performance of credit analysis in accordance with Credit Manual and pertinent regulations. The role ensures that individual... 

    Confidential

    Philippines
    a month ago
  •  ...application development milestones. - Actively participate in code reviews and provide constructive feedback to team members. Professional...  ...Skill: Expert proficiency in Salesforce Industries Energy & Utilities Cloud. - Strong understanding of application development... 

    Confidential

    Manila
    1 day ago
  •  ...operation. Analyze client current processes and suggest improvements. Implement best practices for Asset Management System for Utilities (Generation, Transmission and Distribution): Works Management for Electrical Generation, Transmission & Distribution, Gas Storage,... 

    Confidential

    Taguig
    26 days ago
  •  ...Overview We are seeking a Utility Specialist to support our on-site operations in Lipa. This role is ideal for detail-oriented individuals looking to grow in infrastructure or utility-related work. You'll be responsible for handling Dito's SLZ regional sites electricity... 

    Confidential

    Lipa City, Batangas
    26 days ago